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Organization

SOUTH COMMUNITY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL M. SMERZ (CEO)
(937) 293-8300
Entity
Organization

Contact information

Practice address
3095 KETTERING BLVD, MORAINE, OH 45439
(937) 293-8300
(937) 534-1353
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439
(937) 293-8300
(937) 534-1353

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0101
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0200295
OH
Enumeration date
08/03/2009
Last updated
04/30/2012
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